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**Req Number** 154415

FlexStaff is hiring a Credentialing Specialist for one of our clients. This is a hybrid position (Wednesdays & Fridays in office) located in the Bronx.

The credentialing specialist will be responsible for engaging physician offices, clinics, and medical facilities to retrieve medical records, visit documentation, maintain strong relationships with healthcare providers, and ensure the efficient exchange of essential healthcare information.

JOB RESPONSIBILITIES:

+ Coordinate provider credentialing process to increase efficiency and ensure that credentialing deadlines are met.

+ Research and solve credentialing/re-credentialing delays & issues with enrollment in a timely manner.

+ Manage confidential information of internal staff (Physicians, Nurse Practitioners).

+ Ensure demographic updates are reviewed and verified for processing.

+ Ensure the database is kept accurate and updated.

+ Maintain necessary logs, lists, records, and current documentation required for physician/provider credentialing and re-credentialing to ensure requirements are met in a timely manner.

+ Prepare documents for Credentialing Committee review.

+ Outreach to provider for information verification and miscellaneous inquiries, i.e. provider portal access, nursing home documentation, medical records retrieval, etc.

+ Provide productivity and issues reports for Management.

+ Remain current on policies affecting provider credentials and enrollment processes.

QUALIFICATIONS:

Education:

+ Associates/Bachelor's Degree, and/or equivalent work experience.

Experience:

+ A minimum of three (3+) years of credentialing experience.

+ Preferred: Credentialing in a Healthplan setting.

+ Microsoft Office/Suite Proficient (Excel, Outlook, Word, etc.)

+ Highly Organized.

+ Able to multitask efficiently and effectively.

+ Solid problem solving and time management skills.

+ Have the ability to review and draft correspondence in email and word processing systems.

+ Professional, Friendly, and Skillful Communication Skill Set.

+ License: None Required, Certified Provider Credentialing Specialist - Preferred.

*Additional Salary Detail

The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

The salary range for this position is $27-$27/hour

It is Northwell Health’s policy to provide equal employment opportunity and treat all applicants and employees equally regardless of age, race, creed/religion, color, national origin, immigration status, or citizenship status, military or veteran status, sexual orientation, sex/gender, gender identity, gender expression, height, weight, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, their or their dependent’s sexual or other reproductive health decisions, or other characteristics protected by applicable law.